Individual provider Active NPI

Nicholas Isaiah Butler, RN

  • Registered Nurse
  • North Miami Beach, FL
National Provider Identifier
1093117707
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9483340 Issued in FL
Practice address
99 NE 166TH St
North Miami Beach, FL 33162-3439
Phone
(786) 282-1232
NPI assigned
Sep 24, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN-88979 HI
Licensed Practical Nurse 164W00000X PN5211645 FL
Registered Nurse 163W00000X RN9483340 FL Primary

Addresses

Primary practice location

99 NE 166TH St
North Miami Beach, FL 33162-3439

Mailing address

99 NE 166TH St
North Miami Beach, FL 33162-3439
Phone (786) 282-1232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9483340FLMDRegistered Nurse
RN-88979HIMDRegistered Nurse
PN5211645FLMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Comprehensive Healthcare Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1093117707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 NE 166TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623439",
            "telephone_number": "786-282-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 NE 166TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623439",
            "telephone_number": "786-282-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "NICHOLAS",
        "middle_name": "ISAIAH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-24",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "RN-88979",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5211645",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9483340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.